Credentialing and Administrative Support Specialist
Vail Health
full-time
Posted on:
Location: Arizona, Colorado • 🇺🇸 United States
Visit company websiteSalary
💰 $23 - $29 per hour
Job Level
JuniorMid-Level
About the role
- Maintain up-to-date and compliant credentialing files for providers, including licensure, DEA, insurance, and certification tracking
- Monitor expirables and manage timely renewal and documentation of credentials
- Prepare and submit provider enrollment and re-credentialing applications for Medicare, Medicaid, and commercial payers
- Manage CMS provider revalidations and update provider information across portals including CAQH, PECOS, Availity, and NPPES
- Coordinate hospital credentialing and reappointment processes and serve as liaison with medical staff offices
- Maintain provider rosters, enrollment spreadsheets, and credentialing trackers; securely manage provider passwords and sensitive documentation
- Collaborate with billing teams to resolve enrollment-related claim issues and respond to payer documentation requests
- Provide administrative support to the Supervisor of Provider Services and Provider Operations Department
- Support ad hoc operational and project-related tasks and role model Just Culture and Organizational Values
Requirements
- 2 years of credentialing, payer enrollment, or healthcare administrative experience preferred
- Credentialing certification (e.g., CPCS) preferred
- Must be HIPAA compliant
- Experience preparing and submitting provider enrollment and re-credentialing applications for Medicare, Medicaid, and commercial payers
- Experience managing CMS provider revalidations and updating provider information across portals including CAQH, PECOS, Availity, and NPPES
- Experience maintaining credentialing files, licensure, DEA, insurance, and certification tracking and managing expirables
- Ability to coordinate hospital credentialing and reappointment processes and serve as a liaison with medical staff offices
- Experience collaborating with billing teams to resolve enrollment-related claim issues and responding to payer documentation requests
- Ability to maintain accurate provider rosters, enrollment spreadsheets, and credentialing trackers
- Ability to securely manage provider-related passwords and sensitive documentation
- Must be able to live and work primarily in one of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI